Blue Shield of California

Blue Shield | Large Group Pharmacy Updates for 2026

Blue Shield is introducing a lower premium prescription rider for Enhanced Rx $15/20%/30%/40% and new weigh loss pharmacy riders.

Blue Shield | RxDC Reports Submitted to CMS

Blue Shield has successfully submitted 2025 Prescription Drug Cost data reports to the Centers for Medicare and Medicaid Services (CMS).

Blue Shield Large Group Expands Medical Plans for 2026

Blue Shield is excited to add 14 plans to the 2026 large group plan portfolio.

Blue Shield | Network Update: UC Health and Hoag

Blue Shield is currently negotiating in good faith with both University of California Health (UC Health) and Hoag Clinic and facilities (Hoag) to reach agreements.

Blue Shield | SB 729 and How Maven Can Help Clients Navigate Fertility Coverage Mandates

Blue Shield works to implement SB 729 and explains how Maven can help.

Blue Shield | Notice of Privacy Incident

On April 9, 2025, Blue Shield of California sent email notices to members and self-funded group customers regarding a privacy incident.

Blue Shield | Understanding Prescription Medication Costs in 2025

While Blue Shield's new pharmacy model is designed to drive down overall costs, some members may be experiencing cost increases for their individual prescription medications since 1/1/2025.

Blue Shield | Q3 2025 Update

Blue Shield is pleased to announce Q3 2025 rates.

Blue Shield | Compliance with SB 729's Fertility Services Requirements

Blue Shield is working in good faith to implement the various requirements of SB 729 for fully-insured small and large employer groups.

Blue Shield | Rx Healthcare Spending Survey Available Now, Due April 19, 2025

Blue Shield of California is collecting D1 Premium Contribution data as part of the Consolidated Appropriations Act, Section 204 (2021)–Survey deadline April 19, 2025.

Blue Shield | Annual Medical Loss Ratio Employer Survey Due 03/31/25

The Blue Shield of California Annual Medical Loss Ratio (MLR) Employer Survey is due March 31, 2025.

Blue Shield | Annual (RxDC) Prescription Healthcare Spending Survey

Blue Shield groups that miss the RxDC survey deadline will not be included in Blue Shield’s filing and may be subject to non-compliance if they do not report the required data directly to the CMS on t...